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“Intellectual And/or Developmental Disabilities Residential Treatment Facility” (South Haven, MI)

Location: South Haven, MI
Taxonomy: Intellectual And/or Developmental Disabilities Residential Treatment Facility.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1033776919 — SOUTH COAST HOME LLC
Practice Location Address:
72633 M 43
SOUTH HAVEN MI
49090-8734
Practice Phone: 269-998-9349
1225671621 — BOLDEN AFC LLC
Practice Location Address:
7027 BASELINE RD
SOUTH HAVEN MI
49090-8338
Practice Phone: 269-214-2142

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